DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchum, Kimberly Mitchum	DOIID	1043302	NAIC NPN	19191846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/2/2022	11/1/2023
Inactive	Resident	Agent	Life	2/2/2022	11/1/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/22/2020	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/22/2020	12/10/2020
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	11/1/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/26/2019	10/31/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/26/2019	10/31/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	3/17/2022	12/28/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/28/2022	6/22/2023
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/12/2019	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/12/2019	11/23/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/16/2022	11/1/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/21/2019	10/31/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/21/2019	10/31/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/21/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/21/2019	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/2/2020	12/13/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/2/2020	12/13/2020